• The Cost of SBIRT Implementation in Mat-Su Primary Care Practices

      Tran, Trang C.; Guettabi, Mouhcine; Frazier, Rosyland; King, Diane; Zold, Amanda (Institute of Social and Economic Research, University of Alaska, 2018)
      The purpose of this report is to calculate the cost of alcohol Screening, Brief Intervention, and Referral to Treatment (SBIRT) in three primary care practices located in the Matanuska-Susitna area. Using Fleming et al. (2000)’s benefit-cost ratio of screening and brief physician advice in managed care settings, we estimated the dollar benefits potentially generated by SBIRT services.
    • Implementing SBIRT in Primary Care: A Study of Three Mat-Su Borough Health Care Practices

      Passini, Jessica; Elkins, Amanda; King, Diane; Frazier, Rosyland (Center for Behavioral Health Research and Services, 2018)
      Despite decades of research evidence that SBIRT is effective for addressing unhealthy patterns of drinking and reducing binge drinking, its adoption within healthcare practices continues to be slow. Providers have identified numerous reasons for not routinely screening and intervening on alcohol, including limited time, training, and resources for patients requiring treatment; lack of confidence in their ability to help patients reduce their drinking; inadequate reimbursement for SBIRT services, and worry about stigmatizing patients.
    • SBIRT Utilization and Billing among Prenatal Providers in Hawaii

      Tanner, Stacy; Porter, Rebecca; Hanson, Bridget (Center for Behavioral Health Research and Services, 2018)
      This report presents findings from key informant interviews that were conducted to understand Hawaii prenatal providers’ use of screening, brief intervention, and referral to treatment (SBIRT) in everyday practice. Five prenatal providers who practice in Hawaii participated in the interviews. Although participants acknowledged the importance of utilizing SBIRT in prenatal care, SBIRT appeared to be underutilized. Most did not have standard SBIRT procedures incorporated within their practice. Participants’ primary concerns regarding routine use of SBIRT included time constraints, lack of technology within the electronic health record, and stigma. Recommendations from prenatal providers regarding SBIRT decision-making, billing process improvements, and provider incentives to enhance reimbursement practices are discussed.